Female Pattern Hair Loss

It is more rarely seen than male pattern hair loss. Even though it has similarities with male pattern hair loss, it is different in various aspects. Actually, it would be more appropriate to call this hair thinning instead of hair loss since complete baldness is very rare. Even though female pattern hair loss is also related with hormones, it doesn’t start with puberty unlike male pattern hair loss. This problem is seen in older ages. Menopause is a period that hair loss increases. Drug use and pregnancy are the two basic reasons for hair loss in early periods. It should be noted that pregnancy is an important period that increases hair loss in women.

Although the hair line moves back and causes the forehead area to enlarge in male pattern hair loss, this is very rarely seen in women.
Classification generally includes 3 phases (Ludwig Classification) and sometimes 5 phases.

Phase 1: It is similar to phase 1 in Hamilton scale for men. The hair loss problem has just started and the patient doesn’t yet know whether the loss is permanent or reversible. Since women consult doctors earlier, they start receiving treatment starting from this phase. Generally, these treatments include shampoos and home care cures.

Phase 2: The problematic area is enlarged. Expanding towards sides or back is not expected widely. It is the period that medical clinic practices are most frequently used. If patients didn’t obtain satisfactory results form home care cures, they may prefer clinical practices. Hair mesotherapy, hair thermotherapy or special procedures with botulismus toxin are beneficiary treatments for this period.

Phase 3: The hair loss during menopause is included in this type of hair loss. Its likelihood or its progression to this phase is higher in women wearing headscarf. The volume of hair strands and the number of hair strands in cm2 obtained with clinical practices are not enough. The women, who have hair transplant operation, are generally in this phase. This phase, which requires implantation of 1200 or more grafts, is the last phase of female pattern hair loss according to many specialists.

Phase 4: It is accepted as the first phase of the progressive type of female hair loss. Generally, the hair loss has only 3 phases in most of the women. It may sometimes progress to the phase 4 in some women. This phase is one of the desperate phases that no other medical treatment other than hair transplant will be helpful. Since the probability for the hair transplant to offer sufficient amount of hair strands is low, it is hard to satisfy the patient.

Phase 5: It is the last phase of diffuse (progressive) hair loss. In this phase where cosmetic measures (prosthesis, wig) are more suitable than medical treatments, patients know that their treatment options are limited. Yet some of the patients may still benefit from hair transplant operation even in this phase. However, it would be good to state to the patient that the implanted hair may fall.

Dr. Hamid Aydın

Starting with the work of the Free Medical Tourism Medicine Aesthetic and Beauty industry since the 2000s, together with the activities of these areas, starting in Kusadasi and Izmir, first opened for business. Health Tourism packages are created for the same years, many individuals and organizations serve as a model for the domain and opened new areas of business.

For this purpose, his studies abroad, participated in TV programs, especially in the conferences with the branches of hair transplantation and aesthetic plastic surgery is a treatment is considered to be very patient to come to Turkey.